Thursday

Oct 10, 2019 at 10:56 AM

This article appears in Oct. 9 Weekly Health page.

In yet another twist for worried parents: Meet the vaping hoodie. This high school fashion mainstay - defined by a hood with drawstrings - is now available as a vaping device, ready to deliver a puff of nicotine (or marijuana) anywhere, anytime. Including in the classroom.

It marks an addition to the fleet of discreet - some would say camouflaged - vaping devices that have teachers and parents struggling to monitor the usage of a product that has surged in popularity among high school-aged kids in the past two years, despite laws in most states that allow sales only to people 18 and up. (In California, it’s 21.)A computer mouse. A phone case. Backpacks. USB jump drives. The vaping kit options colorfully advertised online are fashionable and many.

Juul, the San Francisco-based company that dominates the e-cigarette trade, and other manufacturers publicly tout their devices as tools for adults looking to get a nicotine fix without the toxins associated with burning tobacco. But the crowded market of devices and accessories that has sprung up around vaping is filled with products that seem tailored to teenagers who want to keep their use secret - and according to parents and teachers, are all but impossible to keep out of kids’ hands.

Preliminary federal data released this month show more than one-quarter of the nation’s high schoolers had reported vaping in the previous 30 days, up from 11.7 % in 2017. As the teen vaping scene has exploded, adults have had a hard time keeping up. In a 2018 survey, the Truth Initiative, an anti-tobacco advocacy group, surveyed middle and high school teachers on vaping and found that fewer than half recognized a photo of a Juul, the most commonly used device. A palm-size stick that charges via USB, it’s easily mistaken for a flash drive to the uninitiated.

Sven-Eric Jordt has seen the challenge in his kid’s school. By day, Jordt is an associate professor at Duke University, studying the health effects of inhaling various chemicals. By night, he educates his children on the potential risks of vaping. Recently, one of his daughters told him about the “Apple-like” watch manufactured by Uwell that is quickly becoming one of the more popular devices at her high school. With a touch of the finger, the face offers the time. But when removed from the wrist band, it is a vaping device.

“The teachers have learned to recognize Juul,” Jordt said, “but this just looks like a watch.”

The Centers for Disease Control and Prevention continues to investigate a spurt of vaping-related lung illnesses, mostly affecting young people. Authorities have reported over 1,000 cases of suspected cases nationwide, including 70 in California. Seven of the cases - including two in California - have resulted in death.

It’s unclear whether a single device or agent is causing those illnesses. Most of the patients have reported vaping cannabis, according to the CDC, but some patients said they had vaped only nicotine or vaped both. In California and other states, at least some of the cases are linked to vaping unregulated cannabis products. The outbreak has focused new attention on what federal officials now characterize as an epidemic of youth vaping.

Two states - Michigan and New York - have moved to ban sales of most flavored e-cigarette products, which are popular among young people; and President Donald Trump this month said he would launch a similar effort at the federal level. In California, Gov. Gavin Newsom said this week that his administration would boost enforcement efforts against illicit and counterfeit vaping products and fund a $20 million public service campaign highlighting the dangers of vaping.

While research continues into the long-term prospects of e-cigarettes as a tool to help people quit smoking, experts say there is clear evidence that teens should not vape. Nicotine can cause changes in the developing brain that make lifelong addiction more likely. The liquids in vaping devices contain a range of chemicals that can harm the lungs.

Some schools have banned flash drives in an effort to keep vaping devices off campuses. But new stealth devices offer ways around these prohibitions.

Some of the devices likely aren’t legal. A decade ago, when vaping devices first hit the market, it wasn’t clear who had the authority to regulate them. Numerous court cases and regulatory shifts later, they fall under the Food and Drug Administration’s purview and are considered a tobacco product.

Depending on when they became available for sale, devices generally fit into one of three regulatory buckets. Anything marketed before Feb. 15, 2007, is exempt from regulation. Products sold after that but before Aug. 8, 2016, have until May 2020 to submit applications to the FDA for market authorization and can be sold in the interim. Anything that was not marketed by Aug. 8, 2016, needs FDA approval to be sold in the U.S.